Individual
MR. ROBERT JOHN MAYSHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 GRAMPIAN BLVD, DIVINE PROVIDENCE HOSPITAL - IPBH, WILLIAMSPORT, PA 17701-1909
(570) 326-8295
Mailing address
181 PLEASANT VIEW EST, TURBOTVILLE, PA 17772-8655
(570) 649-5070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002379L
PA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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